Thursday, July 16, 2009

My experience of thoracic mobilization & MFR on upper posterior thoracic level on vasospasm of distal hind limb

(This is a form of MFR to upper anterior thoracic )

Many hemiplegics presents with shoulder hand syndrome. Shoulder hand syndrome is also known as CRPS (complex regional pain syndrome) or RSD (reflex sympathetic dystrophy).

In past and also recently I have used SPAM to mid thoracic vertebrae & MFR to upper posterior thoracic level (precisely in physiotherapeutic terms bilateral rhomboidus stretch) with moderate results on pain & disability plus overall reduction menifestation of RSD in my patients.

Peers usually associate these effects of mobilization & MFR with autonomic balancing act in the zone. Various grades of touch has been shown to affect central neuronal out puts to endocrine perturbations. Myofacial release is unique in this aspect however not many research papers are there. Relief of vasospasm by MFR is claimed by researcher Walton in 2008. Following is a micro review of that paper that found MFR is a effective modality in treatment of primary Raynaud's phenomenon:

Walton investigated whether MFR techniques performed on upper body connective tissue could ease the frequency, duration or pain intensity associated with primary Raynaud's phenomenon.
The myofascial work targeted the upper back, neck and arms according to hypothetical fascial meridian lines & he administered 5 treatments over a 3-week treatment period on a 35-year-old female experiencing primary Raynaud's phenomenon for the past 12 years.

After the first treatment, the duration of the subject's vasospastic episodes was reduced by almost half and continued to decrease throughout the 3 weeks of treatments. However, the frequency or number of affected digits showed insignificant changes.

These results suggest that by releasing restricted fascia, myofascial techniques may influence the duration and severity of the vasospastic episodes experienced in primary Raynaud's phenomenon.


J Bodyw Mov Ther. 2008 Jul;12(3):274-80. Epub 2008 Mar 5.

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